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re: Hospital overload in Louisiana is it COVID or is it pent up elective surgery demand?

Posted on 7/25/20 at 7:31 am to
Posted by ItTakesAThief
Scottsdale, Arizona
Member since Dec 2009
10889 posts
Posted on 7/25/20 at 7:31 am to
It is largely doctors pushing through the backlog of surgeries from the 2 months they were not able to conduct surgeries.

COVID does exist, some will get sick and a few will die but there are many other afflictions that exist that we don’t shut down the country for.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
117331 posts
Posted on 7/25/20 at 7:35 am to
quote:

I am the inventor of Post-It Notes.


Rome?
Michelle?
Posted by 4evrlsu
Death Valley
Member since Jun 2008
2383 posts
Posted on 7/25/20 at 7:49 am to
I have a family member that is a RN at OLOL. She said it’s a staffing shortage and nurses are out with Covid or mandatory quarantines.

Maybe they got sloppy with PPE’s when things got better? Or, like another poster said, got laid off when electives weren’t taking place.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
117331 posts
Posted on 7/25/20 at 7:52 am to
quote:

I have a family member that is a RN at OLOL. She said it’s a staffing shortage and nurses are out with Covid or mandatory quarantines.

Maybe they got sloppy with PPE’s when things got better? Or, like another poster said, got laid off when electives weren’t taking place


So, it's another lie.

They're not running out of physical capacity, just capacity that staff can handle.
Posted by 4evrlsu
Death Valley
Member since Jun 2008
2383 posts
Posted on 7/25/20 at 7:57 am to
quote:

So, it's another lie. They're not running out of physical capacity, just capacity that staff can handle.


Yep. She had covid early on, so they are working her like a dog.
Posted by LSU1018
Baton Rouge
Member since Feb 2007
7401 posts
Posted on 7/25/20 at 8:01 am to
The reality is we aren’t paying the medical staff enough to be dealing with this. There wouldn’t be a shortage of workers if you increase their pay a good bit during this.
Posted by 4evrlsu
Death Valley
Member since Jun 2008
2383 posts
Posted on 7/25/20 at 8:06 am to
I also heard, unconfirmed, that Texas is offering insane salaries right now. Locals may be taking advantage.
Posted by ElderTiger
Planet Earth
Member since Dec 2010
7882 posts
Posted on 7/25/20 at 8:22 am to
quote:

The Lake stopped elective cases that required inpatient stays for 2 weeks. All outpatient elective procedures will continue. (Which is the large majority of surgeries)


So, hysterectomies are on hold but vasectomies are good to go.
Got it !!!!!
Posted by JohnWicksDawg
Member since Mar 2018
358 posts
Posted on 7/25/20 at 9:20 am to
Read his post - shortage of staff is the limiting factor.
Posted by lsu xman
Member since Oct 2006
17023 posts
Posted on 7/25/20 at 11:37 am to
A lot of Covid unit nurses getting some serious incentive pay. Some double time .
Posted by heatom2
At the plant, baw.
Member since Nov 2010
13108 posts
Posted on 7/25/20 at 11:42 am to
quote:

They're not running out of physical capacity, just capacity that staff can handle.



What's the difference
Posted by Wiseguy
Member since Mar 2020
4073 posts
Posted on 7/25/20 at 11:45 am to
Physical capacity is not the issue. It’s operational capacity. You can have 5,000 physical rooms/beds, but if you don’t have properly trained staff available to operate then you don’t operational capacity if 5,000. That is why the military medical staff are being deployed to hospitals. They are being used to increase operational capacity.
Posted by LSUJML
Central
Member since May 2008
56855 posts
Posted on 7/25/20 at 11:46 am to
My understanding (could be wrong)
A hospital has 400 rooms
Currently there are 25 nurses employed at the hospital
Each nurse can handle 3 rooms
Actual hospital capacity is 75 rooms although there are 325 open rooms

Those are random #’s, different units have different nurse / patient ratios
Posted by heatom2
At the plant, baw.
Member since Nov 2010
13108 posts
Posted on 7/25/20 at 11:47 am to
No I get that, but it doesn't really matter why the hospitals are at full capacity, just that they are.
Posted by LSUJML
Central
Member since May 2008
56855 posts
Posted on 7/25/20 at 11:50 am to
Except we are being told they are full which is not the same at at capacity
We are also being led to believe that they are full of people with Covid only

quote:

The largest hospital in Louisiana, Our Lady of the Lake Regional Medical Center in Baton Rouge, is down to a single available intensive care bed in a troubling sign of the shortage of health care resources accompanying the second surge of coronavirus patients.


Nola

Except that hospital #’s are not close go the peak & we have a 100 million dollar convention center hospital with a handful of people hanging out
This post was edited on 7/25/20 at 11:54 am
Posted by lostinbr
Baton Rouge, LA
Member since Oct 2017
12866 posts
Posted on 7/25/20 at 12:35 pm to
quote:

Except we are being told they are full which is not the same at at capacity
We are also being led to believe that they are full of people with Covid only

It’s a combination of factors. Trying to drill down to one specific cause across the entire state is an exercise in futility. Other than to generally say that you can “blame COVID” in the sense that it mostly traces back to COVID in one way or another.

In BR, I know there is a combination of:
- People who have put off making appointments for months because they didn’t want to be around COVID (or because facilities were prioritizing COVID) and are now requiring hospitalization.
- Backlog of non-emergent procedures that were postponed.
- Segregation of beds/units to separate COVID patients from non-COVID patients. For example, hospitals have a COVID ICU and a clean ICU, or a COVID med-surg and a clean med-surg. This causes a ton of logistical issues from staffing to bed allocation. If a hospital has 10 available ICU beds, that doesn’t necessarily mean they have 10 beds for COVID patients or 10 beds for non-COVID patients.
- Lack of critical care nurses due to the logistical issues mentioned above, nurses under quarantine with COVID, nurses who have taken lucrative travel assignments in the past couple of months, etc.

I posted this in a previous thread on the subject, but I know for a fact that one BR area hospital is currently paying $30/hr in incentives for ICU nurses. This doesn’t happen unless there’s a legit need. I also know for a fact that, as of a few days ago, neither OLOL nor BRG were accepting transfers.
This post was edited on 7/25/20 at 12:55 pm
Posted by ell_13
Member since Apr 2013
88470 posts
Posted on 7/25/20 at 12:44 pm to
Ochsner is only at a fraction from the peak back in April/May. It’s simply a scare tactic.

On another note, Ochsner’s study that includes volunteers who have not tested positive before is only seeing a positivity rate at 4.5%. Thats in the BR metro area including AP and LP.
Posted by Penrod
Member since Jan 2011
57611 posts
Posted on 7/25/20 at 2:23 pm to
quote:

No I get that, but it doesn't really matter why the hospitals are at full capacity, just that they are.

The hospitals are INTENTIONALLY lowering their capacity to what is needed. The media is reporting that as though we have a capacity problem. We don’t. All they have to do to increase capacity is work their nurses more and bring back those who are laid off.

Hospitals are doing what any business would; they are lowering their costs to what is necessary at the moment.
Posted by loogaroo
Welsh
Member since Dec 2005
43561 posts
Posted on 7/25/20 at 2:44 pm to
So why doesn't the governor put out a request for experienced ICU nurses?

Seems like this is more the issue.
Posted by Oilfieldbiology
Member since Nov 2016
42813 posts
Posted on 7/25/20 at 2:49 pm to
I asked this in another thread, what would it take (how much training) to transform the nurses that aren’t being taxed right now, namely surgical nurses, to increase the capacity in ICU’s? I’m not saying make them ICU nurses but allow them to assist ICU nurses as a force multiplier?
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